Individual
DR. CHARLES E WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4199
(386) 947-4680
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4199
(386) 947-4680
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME88146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277522100
—
FL
01
—
ME88146
MEDICAL LICENSE
FL
Enumeration date
01/18/2007
Last updated
04/05/2010
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